Osseous recontouring on premolar

[Glenn van As]

Oh ya another thing I was proud of was that through your coercion I didnt place a pin in this case but used the erbium to place a groove between the two old pin holes and join them to form a trough for retention (with the erbium laser) and then prepped the tooth for a core buildup.

Settings for the prep on tooth were around 2.4 watts (30 Hz and 80 mj with water) and then the core buildup was done.

Diode settings were 1.0watts CW for coagulation. I am sure the ND yag is also very good for this kind of stuff (right bob!!)

Cya

Glenn

[Swpmn]

Nice case!!!! Great use of the erbium to increase clinical crown length and fantastic impression same day. I use that “pothole” or retention groove technique all the time for my cores – you should be just fine with your buildup.

Al

[ASI]

Hi Glenn,

Nice treatment! Is this another one of those 2-generation and 2-wavelength procedures? Isn’t it wonderful to see how dentistry has advanced?

Cheers,

Andrew

[Glenn van As]

Andrew: good point, if you only have the erbium , you can cut bone but have to use a hemostatic agent to quickly get hemostasis and your trough for tissue management will never look like this.

THe diode or argon or Nd yag will do a much better job of coagulating. Its not one people want to hear. They want a one laser does it all, but the laser physics wont allow for it too happen.

Good point Andrew………..

glenn

[jetsfan]

Glen,
nice case.
If I understand correctly, the insurance company wants to know when the crown is cemented. They don’t like paying for cases that are prepped and impressioned but not delivered. Therefore osseous recontouring and impression on the same visit should not present an insurance dilemma.
JETSFAN

[Glenn van As]

Thanks Jetsfan…….I will ask my front office team about whether they have had problems with this or not.

Great point and thanks for making it.

ALl the best.

Glenn

[Glenn van As]

Hi folks: here is the insertion of the crown preparation that I did two weeks ago for this case.

I removed the temp and the patient said that the margin was rough to her tongue but the rest was fine.

Note the healing of the tissue ( in no manner complete, but pretty nice consdering what it looked like April 1st)

I can often adjust the interproximal contacts on porcelain crowns from where the wax floss leaves a residue as visualized at high mag (see photo #5 in the collage)

The fit was nice (the bite a little off ) but otherwise a nice fit and remember all the prep and osseous was done in one visit.

I like the way the healing looked on the tissue after troughing and the erbium.

2 Weeks healing.

Cya

Glenn

[ASI]

Hi Glenn,

#14 is next?

Looks great.

Andrew

[Glenn van As]

Hi Andrew: thanks………I would have done the first premolar at the same time but her jaw is very very bad. She is having a heck of a time from just me doing one.

Hope that helps……

Glenn

SHe has arthritis throughout her body.

Glenn

[Swpmn]

That’s amazing healing!!!!!!!

And your buildup held great!!!!

Planning to see you around this time next week.

Al

[Glenn van As]

I completely forgot Allen……….will be fun. Drop by and lets share a laugh or two.

I will be in the Hoya booth for Friday pm and Saturday pm and the rest of the time at the Global booth.

Gotta do a few lectures so I better get some material together for the lectures.

Cya Al……..thanks for the kind words……..heck maybe you should do the lecture.

Glenn

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